Hearing impaired persons generally have a greater likelihood of substance abuse issues because of their impairment, and rehab services must be available to them which serves their circumstances. Those who are hearing impaired can appear alone, unmotivated, and be without goals because of their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany possessing this handicap in everyday life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, since these individuals may make an attempt to hide their issue because of social stigmas attached to abusing drugs. Nonetheless, alcohol and drug treatment counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions so that rehabilitation clients can know that they're not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services might be more tailored for each individual to ensure their unique challenges can be treated in rehabilitation.